DR. CHARLES J ELDREDGE (NPI# 1215989322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215989322 |
| Entity Type | Individual |
| Full Name | DR. CHARLES J ELDREDGE |
| Credential | M.D. |
| Practice Address |
555 French Rd Suite 103 New Hartford NY 13413-1044 |
| Practice Telephone | 3157353541 |
| Practice Fax Number | 3157243255 |
| Mailing Telephone | 3157353541 |
| Mailing Fax Number | 3157243255 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2009-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 165839 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
165839 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01070199 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104917590 | Charles Christopher Eldredge | Psychologist | 920 Diana St, Ludington, MI 49431-1987 | 2006-09-28 |
| Street Address |
555 FRENCH RD SUITE 103 |
| City | NEW HARTFORD |
| State | NY |
| Zip Code | 13413-1044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043431281 | Michael T James | Nurse Practitioner | 555 French Rd, Suite 103, New Hartford, NY 13413-1044 | 2007-05-02 |
| 1548346661 | Ahmad Mian | Internal Medicine | 555 French Rd, Suite 103, New Hartford, NY 13413-1044 | 2006-10-31 |
| 1548287329 | Mohawk Valley Nephrology Associates, LLP | Internal Medicine | 555 French Rd, Suite 103, New Hartford, NY 13413-1044 | 2006-07-16 |
| 1629022967 | Ira S Tisch | Internal Medicine | 555 French Rd, Suite 103, New Hartford, NY 13413-1044 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366055733 | Inspiring Counseling, Lmsw,pllc | Counselor | 46 Genesee St, New Hartford, NY 13413 | 2020-08-26 |
| 1407495971 | New Hartford Hearing Centers, Inc | Hearing Instrument Specialist | 8556 Seneca Tpk, New Hartford, NY 13413 | 2020-01-02 |
| 1174090203 | Brittany Nicole Cushman | Physician Assistant | 29 Deerpath Drive, New Hartford, NY 13413 | 2018-10-26 |
| 1750800801 | Yolonda Garling Peroni | Social Worker | 137 Oxford Road Apt F7, New Hartford, NY 13413 | 2017-09-10 |
| 1558890061 | Jennifer Babula | Massage Therapist | 3 Campion Rd, New Hartford, NY 13413 | 2017-06-08 |
| 1144778911 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 8555 Seneca Turnpike, New Hartford, NY 13413 | 2016-09-21 |
| 1306113386 | Terri Jones | Licensed Practical Nurse | 131 Oxford Road, New Hartford, NY 13413 | 2011-11-19 |
| 1679850499 | Gail L. Belden-harrington | Occupational Therapist | 47 Middlesettlement Rd, New Hartford, NY 13413 | 2011-11-08 |
| 1063700482 | Hong Xu | Optometrist | 4733 Commercial Drive, New Hartford, NY 13413 | 2011-07-19 |
| 1295033199 | America's Best Contacts & Eyeglasses | Technician/Technologist | 4735 Commercial Drive, New Hartford, NY 13413 | 2011-03-02 |
| Find all providers in zip 13413 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750618906 | Jershang Lin | Internal Medicine | 58 Janet Ter, New Hartford, NY 13413-2844 | 2009-11-09 |
| 1548346661 | Ahmad Mian | Internal Medicine | 555 French Rd, Suite 103, New Hartford, NY 13413-1044 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275171472 | Health Quest Medical Practice, PC | Internal Medicine | 667 Stoneleigh Ave Ste 123, Carmel, NY 10512-2455 | 2019-12-18 |
| 1881255370 | Marc J Yunis Md PC | Internal Medicine | 1100 Stewart Ave Ste 2, Garden City, NY 11530-4839 | 2019-06-25 |
| 1750841953 | Live Well Medical Care, PC | Internal Medicine | 178 Dahill Rd Ste 1, Brooklyn, NY 11218-2255 | 2019-03-22 |
| 1124509278 | Andre Francis Charest | Internal Medicine | 462 Grider St Fl 11, Buffalo, NY 14215-3021 | 2018-08-27 |
| 1760960132 | Hn&d Company LLC | Internal Medicine | 33 Walt Whitman Rd Ste 114, Huntington Station, NY 11746-3676 | 2018-07-30 |
| 1669979720 | Ambreen Azhar | Internal Medicine | St Lukes Hospital Mount Sinai, 1111 Amsterdam Ave, Nyc, NY 10025 | 2018-04-06 |
| 1659898443 | Broadway Medical Care, P.C. | Internal Medicine | 4117 Judge St Fl 1, Elmhurst, NY 11373-2343 | 2017-08-23 |
| 1023539590 | Ismail Omran | Internal Medicine | 7901 Broadway # C7-10, Elmhurst, NY 11373-1329 | 2017-07-05 |
| 1932636636 | Marco Bonilla | Internal Medicine | 8345 Lefferts Blvd Apt 2c, Kew Gardens, NY 11415-2516 | 2017-05-12 |
| 1386190676 | Mubasshar Rehman | Internal Medicine | Division of Nephrology Mount Sinai St. Luke's Hospital, 1111 Amsterdam Avenue, New York, NY 10025 | 2016-08-28 |
| Find all providers with the same taxonomy | ||||
| City | NEW HARTFORD |
| Zip Code | 13413 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.